Idaho
Division of Occupational and Professional Licenses
TARA MARIE LODI
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2709
Date granted
06/29/2010
Date expires
11/14/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
KELLOGG ID 83837
idaholicensing.com
ID 43732084
LAST UPDATED 2024-03-23 06:41:31 UTC
LAST UPDATED 2024-03-23 06:41:31 UTC
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